Shannon Renea Gander, LMFT-INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

R5780 Issued in OR

Practice address

1300 John Adams St
Oregon City, OR 97045-1695

Phone

(503) 606-8615

NPI assigned

Feb 11, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: shannon@therapistpdx.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1104458645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22932 SW WASHINGTON ST",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971407093",
            "telephone_number": "503-419-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 JOHN ADAMS ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451695",
            "telephone_number": "503-606-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDER",
        "first_name": "SHANNON",
        "middle_name": "RENEA",
        "name_prefix": "Mrs.",
        "credential": "LMFT-INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "R5780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shannon@TherapistPDX.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 John Adams St",
            "city": "Oregon City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970451695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Galindo
• Katelin Gallion
• John Matthew Gallucci, D.M.D., B.S.
• Timofey Sergeyevich Galuza, PSYD
• Jeffrey Steven Gander, RN
• Annette Gandy
• Victor Manuel Garcia del Castillo
• Dalena Ann Garcia, LMT
• Anna Garner
• Carolyn M Garnett, PA-C

• Marriage & Family Therapist in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.